Organization
PRONILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMAN WADEE AWDALLAH (OWNER)
(469) 618-5665
Entity
Organization
Contact information
Practice address
12611 HORNBEAM DR, DALLAS, TX 75243
(469) 618-5665
Mailing address
12611 HORNBEAM DR, DALLAS, TX 75243-2607
(469) 618-5665
(972) 986-8400
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
32061448497
TX
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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